Fig77

Stroke volume is the volume of blood pumped out during each contraction by a ventricle. Heart rate simply put is the number of heart beats per minute. Cardiac output is the volume of blood pumped out per minute. The relationship mathematically is Cardiac Output = Stroke volume x Heart rate.

Outside this online world, unlike most of the people (I am not going to name) here who spend a lot of time here online bashing about people who come out to seek help and answers but instead gets bashed about their stories/situations.

If we take this discussion outside the online into a real world, I doubt half of these "honesty" will come out. When the OP is directly asking some questions, and the people instead start roaring about something else (although related, but not asked for) I call it judgemental. More bashing than answering the question. Who in the right mind will disclose his past mishap with jobs, especially in this economy. Those who say they will, I will :yeah:because you just lost your opportunity to get it and gave someone else a chance - others before self, indirectly done.

The world outside this online discussion thread will be more kind and less judgmental, imho. Because in a real world you will have variety of people, rather than people with same opinion. But it is always good idea to learn from the mistakes and listen to what everybody has to say, especially the harsh ones - some of them do help. We got two ears - to let things in and let things out.

I am sorry, but I am bit confused about this homework. What's the question? Finding out what the Medical/Nursing Diagnosis or something?

i think the best thing is to move and learn from the mistakes. that aside, since you are a new grad maybe you could avoid mentioning your first job to start with. good luck. ---- i think a lot of people are missing the point - he or she is asking for - what should i say to prospective employers when they ask why i left? i dont want to say i got fired. can i just say it wasnt a good fit? also, on my resume, i didnt put an end date, it just says oct 2009-present. should i change it?

Are you sure the question reads Colace 20mg per teaspoon? ordered is 3/4 gr = 0.75 gr = 48.75 mg if 1 gr is 65 mg. available = 50 mg Amount = Desired (Ordered) / Available (On hand) X Quantity ( tabs in this case) =48.75 mg / 50 mg X Infatabs = 0.975 infatabs = 1 tab

I can see why o2 sat will have higher priority over cardiac monitor even though the patients chief complaint has to do with the chest pain. For one breathing ces before circulation and secondly the patient was laboring at breathing at high rate.

Man, I can see what exactly you are saying. But I can also see why your instructor's answer is more correct in a sense as well. I k For example, for the first problem both you and the instructor are correct - equally. from http://www.nlm.nih.gov/medlineplus/ency/article/000165.htm digoxin toxicity Symptoms Confusion Irregular pulse Loss of appetite Nausea, vomiting, diarrhea Palpitations Visual changes (unusual) Blind spots in vision Blurred vision Changes in color perception Halos or rings of light around objects Seeing lights or bright spots for the second problem, yes inotropic - being positive agent as well as negative agent. But in this problem we are specificially referring to the digoxin - that doesn't specifically decrease the heart rate, but rather decrease the electrical impulses. Digoxin does increase/strengthen the contraction. it says halos of light around object, and yours around light? My suggestion is to talk with your instructor and go thruough each answer one by one. That way you will get a chance to see from your instructor's view point and give your rationale behind why your chosen answers are correct or more correct.

I think it is in the right order in general. But I think the order of priority can change very easily depending on the nursing dx (full 3 parts). For example if the patient is immuno suppressed, the priority for the risk for infection will rise. Similarly, if the pain we are referring here is an acute, at the moment, one then it will go higher in priority.

Here is an easy one Activity intolerance r/t sob and high bp secondary to afib aeb (any evidence u noticed during assesment/observation).

Left knee infection - cause could range from knee surgery and acquiring an infection as it got expose to pathogens in the health facility to extoxins within the body.

i estimated 1 dram as 4 cc. that 250mg per dram is the drug available per volume and i used it as 250 mg/4cc - while doing calculations above.

I m not sure what we call this condition bit I hope u r not planning to add that to the nursing dx, because physician diagnoses the medical condition. It is not within nurse's scope of practice. Nurse does nursing diagnosis -- patients response to the medical condition/diagnosis.

I did like this ::: Drug available/volume available = drug ordered/volume to administer 120 mg/ 5 ml = 250 mg/ ml to admin ml to admin = 250 mg/ 120 mg X 5 ml ml to admin = 10 ml

Ok I tried proble #4 b like this:: Drug available/volume available = drug ordered/volume to administer assuming 1 dram equals 4 cc 250 mg/4 cc = 2000 mg/ cc to administer 32 cc = cc to admin. But we got to divide that into 4 equal doses as question asks: 32cc/4 doses = 8cc per dose.

Wow. U hav done enough. Wondering if u would still be working on finding more ways to "bust" the person if he was your friend, hubby or family. Human first, nurses second.

I think acute pain since that is more physiological(maslow's) than the rest and technically as a nurse (or trying to become one) acute pain is happening right now compares to the other nursing dx that are only risk for this and that.

I personally think u did a great job with all aspects of your care plans. But maybe if u want, consider adding a better/more or concise aeb part for this I think just having a bruise on one toe doesn't seem to link too good with all the r/t factors u listed. Just my opinion. Good luck.

1b 2a 3c

hi daytonite, i was wondering you could help us understand when prioritizing the nursing dx should we be look at the problem statement, r/t or aeb? Because I was thinking sleep has more priority over activity. Thanks for your help.

I see. I don't have a care plan book, but I can see the problem statemet could be something similar to educating or providing resources and guidance since it is evident that patient wants to get better or taken well care of. I m sure there should be couple of them in the NANDA.

I also forgot to mention that schools do have ASL interpretor, whether it ne nursing class or not.

Oh I see. If that's so, no problem either. American Sign Language is here. Such nurses can work with patients who can't talk or hear if they desire to. My knowledge is very limited but I know that nursing field is a very vast career field, it is not just limited to working in ER or something.

I think stutterring should be no problem the nursing field is such a vast field- administrative, careprovider, management and so much more that we typically don't hear about. At one if my school, there was a girl who can't talk at all. Dump? You mean dumb? If so, that's so subjective. Nobody is dumb except the people who calls someone himself is one.